The occurrence of ocular and visual dysfunctions in an acquired brain-injured patient sample.

The occurrence of ocular and visual dysfunctions in an acquired brain-injured patient sample.
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获得的脑损伤患者样本中出现眼部和视觉功能障碍。

DOI:
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发表时间:
1999
期刊:
Journal of the American Optometric Association
影响因子:
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通讯作者:
W. Ference
W. Ference
中科院分区:
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文献类型:
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作者:
I. Suchoff;N. Kapoor;R. Waxman;W. Ference

文献摘要

被引文献

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背景 获得性脑损伤(ABI)是一个通用术语,指继发于创伤、中风或手术后并发症的脑损伤。本文报告了ABI患者样本中各种眼部和视觉状况的发生。 方法 本研究的受试者是62名脑损伤的成年人,他们居住在纽约地区的两个扩展护理机构。受试者的年龄范围为19至70岁。视觉评估的标准方案包括患者访谈;遮盖测试;验光;以及视力、眼动力、调节、双眼、视野、色觉、对比敏感度、瞳孔以及前节和后节的评估。 结果 结果报告为比较我们的ABI样本相对于参考正常人群(可获得规范性数据)的疾病发生率的比率,以及与其他已发表的ABI样本数据的比较。外斜视、眼功能障碍和垂直斜视的发生率明显增加。干眼症、睑缘炎、视神经病变和视野缺损的发生率也明显升高。 结论 我们的患者样本表明,某些眼部和视觉条件发生更频繁的ABI患者相比,随机的,成人人群。
BACKGROUND Acquired brain injury (ABI) is a general term referring to brain injury occurring secondary to trauma, stroke, or post-surgical complications. This paper reports on the occurrence of various ocular and visual conditions in an ABI patient sample. METHODS The subjects for this study were 62 brain-injured adults who resided in two extended care facilities in the New York area. Subjects ranged from 19 to 70 years of age. The standard protocol for the visual evaluation incorporated a patient interview; cover test; refraction; and assessment of visual acuity, ocular motility, accommodation, binocularity, visual fields, color vision, contrast sensitivity, pupils, and anterior and posterior segments. RESULTS Results were reported as a ratio comparing the occurrence of a condition in our ABI sample relative to that in a reference normal population (where normative data are available) and as a comparison to other published data on ABI samples. An increased occurrence of exo deviations, oculomotor dysfunctions, and vertical deviations was evident. An elevated occurrence of dry eye, blepharitis, optic nerve pathologies, and visual field deficits was also manifest. CONCLUSION Our patient sample demonstrates that certain ocular and visual conditions occur more frequently among ABI patients in comparison to a random, adult population.